Individual
GERRI BOB CLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 BEDIVERE ST, BORGER, TX 79007-6318
(806) 223-5305
Mailing address
1506 BEDIVERE ST, BORGER, TX 79007-6318
(806) 223-5305
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200077
TX
164X00000X
Licensed Vocational Nurse
200077
VT
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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